Anatomical optical coherence tomography (aOCT) is a real-time imaging technique with micron-scale resolution. This study presents the challenges and outcomes of the first several children subjects imaging in the otolaryngology operating room (OR). Utilizing a custom aOCT system, we performed aOCT within a bronchoscope-guided setup. Challenges encountered in the OR included maintaining aseptic conditions during catheter insertion and addressing aliasing artifacts caused by the larger tracheal size. To mitigate artifacts, a correction method was proposed and implemented, along with the use of machined tubes for image recalibration. This study demonstrates the successful application of aOCT in the OR for human imaging, highlighting its potential in otolaryngology.
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